What is your GI Sign (and assoc diagnosis)? Flashcards Preview

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Flashcards in What is your GI Sign (and assoc diagnosis)? Deck (14)
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Triad of 3 findings: R upper quadrant abdominal pain, jaundice, fever >40 (104F). Assoc Dx?

Charcot Triad; Cholangitis (inf of common bile duct)


hypotension and AMS + Charcot's triad. Assoc Dx?

Reynold's pentad: Cholangitis


Bruising and edema around subcutaneous tissue around umbilicus. Assoc Dx?

Cullen; seen in Pancreatitis or abdominal trauma or ruptured ectopic pregnancy


Bruising of the flank

Grey Turner sign; seen in Pancreatitis or blunt abdominal trauma or ruptured ectopic pregnancy


RUQ on palpation usually after full expiration on deep inspiration palpation of RUQ

Murphy's sign; cholecystitis


Palpation of the left lower quadrant elicits pain on the R lower quadrant of the abdomen

Rovsing sign; appendicitis


Tenderness to palpation and rigidity over the R side of the abdomen that is one-third the distance from the ASIS to the umbilicus.

McBurney's point; appendicitis


Pt is lying on left side while R thigh is flexed backward

Psoas sign; appendicitis


Pt in supine and pain is elicited as hip and knee is flexed to 90 degrees and internally and externally rotating flexed hip

Obturator sign: appendicitis


R shoulder or scapular pain

Boas sign; acute cholecystitis


Enlarged palpable non-tender gallbladder with jaundice

courvoisier's gallbladder; assoc with cancer of the head of the pancreas


calcified gallbladder on abdominal radiograph

porcelain gallbadder; may be seen in chronic cholelithiasis causes calcified scarring. Cholecystectomy due to association with gall bladder carcinoma


irregular 1 cm nodule within the umbilicus

Sister Mary Joseph sign; GI cancer (gastric, colonic, pancreatic) Gynocologic (ovarian, uterine)


enlargement of a left supraclavicular lymph node

Virchow's node (aka Troisier sign); Pulmonary adenocarcinoma ( neuropathies of the brachial plexus and phrenic nerve as well as compression of the subclavian artery and vascular thoracic outlet syndrome due to its anatomical location)